Nebo ripped his pad open at the dog park once. I wasn't sure what to do either. It wasn't bad enough to be stitched or anything. I cleaned it out really well then used fingernail glue to glue the flap that was hanging back on...sounds crazy but it did work...never got infected or anything, I checked on it all the time. Eventually the flap fell off, but the glue held it there long enough for it to start healing and not be so tender underneath. I'm not saying I'd recommend this, just what I did lol. I don't think that would work with a puncture wound anyway. They do make booties for dogs. Nebo has them, but he hates them, I think he would rip them off if I tried leaving them on him...could work just for going outside though. Probably close supervision (and booties for outside trips) and maybe an elizabethan collar would work best. Hope Star is feeling better soon!